PEDS EVOLVE TEST 3
1. The nurse caring for a female pediatric client with CF sends a stool
for analysis. The
results show an excessive amount of azotorrhea and steatorrhea. What
does the nurse
realize about the laboratory values?
1. They reflect that the patient is not compliant with taking her vitamins.
2. They reflect that the patient is not compliant with taking her enzymes.
3. They reflect that the patient is eating too many foods high in fat.
4. They reflect that the patient is eating too many foods high in fiber.
2. If the patient were not taking her en
zymes, the result would be a large
amount of undigested food, azotorrhea,
and steatorrhea in the stool. CF patients
must take digestive enzymes with all
meals and snacks. Pancreatic ducts
become clogged with thick mucus that
blocks the flow of digestive enzymes
from the pancreas to the duodenum.
Therefore, patients must take digestive
enzymes to aid in absorption of nutri
ents. Often, teens are noncompliant
with their medication regimen because
they want to be like their peers.
2. Which of the following statements about the inheritance of CF is
most accurate?
1. CF is an autosomal-dominant trait that is passed on from the
child's mother.
2. CF is an autosomal-dominant trait that is passed on from the
child's father.
,PEDS EVOLVE TEST 3
3. The child of parents who are both carriers of the gene for CF has
a 50% chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of
the gene for CF
has a 50% chance of acquiring CF.
4. If the child is born to a mother with CF
and a father who is a carrier, the child
has a 50% chance of acquiring the dis
ease and a 50% chance of being a
carrier of the disease.
3. The parent of a 4-month-old with CF asks the nurse what time
to begin the child's
first CPT each day. Which is the nurse's best response?
1. "You should do the first CPT 30 minutes before feeding the
child breakfast."
2. "You should do the first CPT after deep-suctioning the child
each morning."
3. "You should do the first CPT 30 minutes after feeding the
child breakfast."
4. "You should do the first CPT only when the child has congestion
or coughing."
3. 1. CPT should be done in the
morning prior to feeding to avoid the
risk of the child vomiting.
4. The parent of a 10-month-old with CF asks the nurse how to meet
the child's
increased nutritional needs. Which is the nurse's best suggestion?
,PEDS EVOLVE TEST 3
1. "You may need to increase the number of fresh fruits and
vegetables you give your
child each day."
2. "You may need to advance your child's diet to whole cow's
milk because it is higher
in fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake each day."
3. Often infants with CF need to have a
higher-calorie formula to meet their
nutritional needs. Infants may also be
placed on hydrolysate formulas that contain added medium-chain
triglycerides.
5. The parent of an 18-year-old with CF is excited about the possibility
of the child
receiving a double lung transplant. What should the parent understand?
1. The transplant will cure the child of CF and allow the child to lead
a long and
healthy life.
2. The transplant will not cure the child of CF but will allow the child
to have a
longer life.
3. The transplant will help to reverse the multisystem damage that
has already been
caused by CF.
4. The transplant will be the child's only chance at surviving
long enough to graduate
college.
, PEDS EVOLVE TEST 3
2. A lung transplant does not cure CF,
but it does offer the patient an
opportunity
to live a longer life. The concerns are
that, after the lung transplant, the child
is at risk for rejection of the new organ
and for development of secondary infec
tions because of the
immunosuppressive therapy.
6. A 2-year-old has just been diagnosed with CF. The parents ask
the nurse what early
respiratory symptoms they should expect to see in their child. Which is
the nurse's
best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing
respirations." 50
4. Wheezing respirations and a dry
non productive cough are common
early symptoms in CF.
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7. A female child with CF is hospitalized with constipation. The parent
asks the nurse
what will need to be done to relieve the child's constipation. Which is
the nurse's
best response?
1. The nurse caring for a female pediatric client with CF sends a stool
for analysis. The
results show an excessive amount of azotorrhea and steatorrhea. What
does the nurse
realize about the laboratory values?
1. They reflect that the patient is not compliant with taking her vitamins.
2. They reflect that the patient is not compliant with taking her enzymes.
3. They reflect that the patient is eating too many foods high in fat.
4. They reflect that the patient is eating too many foods high in fiber.
2. If the patient were not taking her en
zymes, the result would be a large
amount of undigested food, azotorrhea,
and steatorrhea in the stool. CF patients
must take digestive enzymes with all
meals and snacks. Pancreatic ducts
become clogged with thick mucus that
blocks the flow of digestive enzymes
from the pancreas to the duodenum.
Therefore, patients must take digestive
enzymes to aid in absorption of nutri
ents. Often, teens are noncompliant
with their medication regimen because
they want to be like their peers.
2. Which of the following statements about the inheritance of CF is
most accurate?
1. CF is an autosomal-dominant trait that is passed on from the
child's mother.
2. CF is an autosomal-dominant trait that is passed on from the
child's father.
,PEDS EVOLVE TEST 3
3. The child of parents who are both carriers of the gene for CF has
a 50% chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of
the gene for CF
has a 50% chance of acquiring CF.
4. If the child is born to a mother with CF
and a father who is a carrier, the child
has a 50% chance of acquiring the dis
ease and a 50% chance of being a
carrier of the disease.
3. The parent of a 4-month-old with CF asks the nurse what time
to begin the child's
first CPT each day. Which is the nurse's best response?
1. "You should do the first CPT 30 minutes before feeding the
child breakfast."
2. "You should do the first CPT after deep-suctioning the child
each morning."
3. "You should do the first CPT 30 minutes after feeding the
child breakfast."
4. "You should do the first CPT only when the child has congestion
or coughing."
3. 1. CPT should be done in the
morning prior to feeding to avoid the
risk of the child vomiting.
4. The parent of a 10-month-old with CF asks the nurse how to meet
the child's
increased nutritional needs. Which is the nurse's best suggestion?
,PEDS EVOLVE TEST 3
1. "You may need to increase the number of fresh fruits and
vegetables you give your
child each day."
2. "You may need to advance your child's diet to whole cow's
milk because it is higher
in fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake each day."
3. Often infants with CF need to have a
higher-calorie formula to meet their
nutritional needs. Infants may also be
placed on hydrolysate formulas that contain added medium-chain
triglycerides.
5. The parent of an 18-year-old with CF is excited about the possibility
of the child
receiving a double lung transplant. What should the parent understand?
1. The transplant will cure the child of CF and allow the child to lead
a long and
healthy life.
2. The transplant will not cure the child of CF but will allow the child
to have a
longer life.
3. The transplant will help to reverse the multisystem damage that
has already been
caused by CF.
4. The transplant will be the child's only chance at surviving
long enough to graduate
college.
, PEDS EVOLVE TEST 3
2. A lung transplant does not cure CF,
but it does offer the patient an
opportunity
to live a longer life. The concerns are
that, after the lung transplant, the child
is at risk for rejection of the new organ
and for development of secondary infec
tions because of the
immunosuppressive therapy.
6. A 2-year-old has just been diagnosed with CF. The parents ask
the nurse what early
respiratory symptoms they should expect to see in their child. Which is
the nurse's
best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing
respirations." 50
4. Wheezing respirations and a dry
non productive cough are common
early symptoms in CF.
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7. A female child with CF is hospitalized with constipation. The parent
asks the nurse
what will need to be done to relieve the child's constipation. Which is
the nurse's
best response?
